Provider Demographics
NPI:1457474496
Name:LLOYD B. AUSTIN DDS
Entity Type:Organization
Organization Name:LLOYD B. AUSTIN DDS
Other - Org Name:DENTISTRY FOR CHILDREN ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:OLIVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-358-5330
Mailing Address - Street 1:850 I ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-3608
Mailing Address - Country:US
Mailing Address - Phone:775-358-5330
Mailing Address - Fax:775-358-5344
Practice Address - Street 1:850 I ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-3608
Practice Address - Country:US
Practice Address - Phone:775-358-5330
Practice Address - Fax:775-358-5344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3941223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty